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Revenue Cycle Specialist IV
Cedars-Sinai. Provide outpatient billing and collections support under general supervision .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive revenue cycle experience with a strong focus on outpatient billing and collections, regulatory compliance, and problem-solving capabilities. Proficient in managing complex cases and providing technical support while maintaining effective communication with various stakeholders.
Highest-signal resume keywords
Revenue Cycle ExperienceOutpatient BillingCPC CertificationRegulatory KnowledgeCoding Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
BillingCollectionsCodingClaims SubmissionAccount Follow-UpRegulatory InterpretationStatistical ReportingProblem ResolutionPolicy DocumentationFinancial Analysis
Soft Skills
Decision-MakingConflict ResolutionCritical ThinkingDetail OrientationAnalytical Skills
Certifications & Qualifications
CPC
Industry Keywords
Revenue CycleHealth InsuranceThird-Party PayorsCSHS PoliciesHospital Billing
About the role
Key responsibilities & impact- Provide outpatient billing and collections support under general supervision
- Review and submit claims to third-party payors
- Perform account follow-up activities
- Update account information
- Research, analyze, and resolve complex cases and problem accounts with minimal assistance
- Interpret regulatory requirements, payor contracts, and CSHS billing and collections policies
- Serve as a technical resource and subject matter expert to others
- Act in the absence of the lead and/or supervisor
- Cross-train in other revenue cycle functions and provide backup coverage
Requirements
What you’ll need- High school diploma or GED required
- College level courses in finance, business or health insurance preferred
- Minimum of 5 years of revenue cycle experience, including hospital/professional billing and/or collections experience
- Minimum of 2 years of coding experience
- CPC highly preferred
- Ability to handle multiple tasks in a fast-paced environment with conflicting demands
- Decision-making, conflict resolution, and critical thinking skills
- Ability to interact effectively with directors, managers, patients, internal staff, and outside agency representatives
- Detail, analytical, and problem-solving skills
- Ability to adjust to changing workflows
- Expert knowledge of regulatory and CSHS policies and procedures governing billing and collections
- Ability to compose letters, policy statements, procedure manuals, and reports independently
- Ability to organize complex statistical reports, charts, and exhibits into complete documents
- Ability to work independently with little supervision and prioritize and organize work
- Approved remote work states: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas
Benefits
Comp & perks- Healthcare
- Paid time off
- 403(b)
- Competitive salaries
- Health and dental insurance
- Dynamic, inclusive environment